I want to help keep Rafael working for me!

Thank you for your support – we can only be successful with your help. Fill out the form below to get involved in the campaign and/or endorse Rafael.
Sign in to Google to save your progress. Learn more
First and Last Name *
Email *
Address *
Phone
Yes! I want to publicly endorse Rafael for Supervisor!
If you are an endorser, what title would you like us to use beside your name?
Get involved in the campaign *
Required
If you requested a window sign, please let us know of any special instructions for delivery
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of TBWBHL. Report Abuse